Questions 58

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ATI Custom Maternity Final 23D Questions

Extract:

Client at 36 weeks gestation with suspected placenta previa


Question 1 of 5

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?

Correct Answer: C

Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to the placenta covering the cervix. Painful bleeding or increasing fundal height suggest other conditions like abruptio placentae or uterine rupture.

Extract:

Newborn


Question 2 of 5

A nurse is collecting data about reflexes from a newborn. Which of the following actions should the nurse take to elicit the newborn's Moro reflex?

Correct Answer: C

Rationale: A sharp hand clap elicits the Moro reflex, causing arm extension and crying due to a startle response. Other actions trigger stepping, tonic neck, or Babinski reflexes.

Extract:

Newborn delivered by vacuum extraction, swelling on head crossing suture line


Question 3 of 5

A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.

Extract:

Newborn


Question 4 of 5

Which assessment findings may cause the nurse to suspect a brachial plexus injury?

Correct Answer: B

Rationale: Absent Moro reflex on one side suggests brachial plexus injury (e.g., Erb's palsy), impairing arm movement. Hypotonia, crying, and tremors are less specific, indicating other possible issues.

Extract:


Question 5 of 5

What is true regarding FAS and NAS?

Correct Answer: A

Rationale: Fetal alcohol syndrome (FAS) results from maternal alcohol use, causing developmental issues, while neonatal abstinence syndrome (NAS) stems from opioid exposure, leading to withdrawal. Neither is caused by analgesics or NSAIDs, and while manageable, they are not fully curable.

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